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General NPI Number Information
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NPI Number | 1831851815
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW MENTAL HEALTH LLC
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 6818 N ORACLE RD STE 414
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City | TUCSON
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State | AZ
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Zip | 85704-4261
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Country | US
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Telephone | 520-812-5382
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Fax |
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Provider Business Mailing Address
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Address Line | 3039 E HAWTHORNE ST
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City | TUCSON
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State | AZ
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Zip | 85716-4135
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | KATHERINE BRAZAITIS
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Credential |
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Telephone | 520-812-5382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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